单室牛津膝关节置换术中股骨内侧髁骨折1例报告

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引用次数: 0

摘要

单室Oxford假体被认为是治疗内侧单室骨关节炎的一种很好的替代方法,因为它具有早期康复和术中并发症发生率低的特点。本病例描述了手术过程中一个罕见的并发症。病例介绍:我们报告一例70岁女性术中内侧髁骨折,采用6.5 mm空心螺钉加压技术治疗。患者在非负重方案中保持6周,并在3个月时达到全范围活动。观察到完全的放射学巩固和良好的功能预后。结论:术中骨折受益于稳定的植骨术,允许活动范围自由,且不会延迟术后康复。
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Case Report of a Medial Femoral Condyle Fracture in a Unicompartmental Oxford Knee Replacement Surgery
Introduction: The unicompartmental Oxford prosthesis has been used as a goodalternative for medial unicompartmental osteoarthritis because it is associated with earlyrehabilitation and a low rate of intraoperative complications. This case describes a rarecomplication during the procedure. Case Presentation: We present an intraoperative fracture of the medial condyle in a 70-year-old woman that was treated with 6.5 mm cannulated screws with a compressiontechnique. The patient remained in a non-weight bearing protocol for 6 weeks andreached a full range of mobility at 3 months. Complete radiological consolidation and agood functional outcome were observed. Conclusion: Intraoperative fractures benefit from a stable osteosynthesis that allows freerange of mobility and does not delay postoperative rehabilitation.
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